TEALE FENNING

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 973

hey,

i'm missing the interaction too.

Mad

_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

Nick Raine-Fenning · Posted: Thu Mar 08, 2007 1:10 pm Post subject:

Click here for suggestions on how you could feed your addiction. Wink

wolverine · Century Club Joined: 16 Jan 2007 Posts: 394

I wish I'll be there, but the more I'm thinking about it the more pessimistic I get..
Anyway, I'm missing the forum too and whatever happens I wanted to say a big Thank You for making revising a nice experience! And it's all thanks to you Nick and your brilliant idea! Thanks again.

Nick Raine-Fenning · Posted: Fri Mar 09, 2007 8:38 am Post subject:

This Forum has developed because everybody contributes and that is what is important. I play a small part but this would not work without you guys.

Abik · Posted: Fri Mar 09, 2007 8:51 am Post subject:

Am missing the forum too - trying to stay away as the more I think about the exam the worse I feel!!
Thanks to everyone who took part - it's been great fun.
And a message to all those who I know are watching but not joining in -
you need to get involved, you will enjoy it and increase your chances of passing the exam, come on in - the water's lovely!!
Laughing

Nick Raine-Fenning · Posted: Sun Mar 11, 2007 6:50 pm Post subject:

I've collated a few e-mails (one in particular Wink

) and phone calls and come up with the following breakdown of the Essays:

OBSTETRIC PAPER

1. A woman attends delivery suite at 37 weeks gestation with light vagianl bleeding. She has had two previous cesareans and an earlier ultrasound scan had shown a low-lying placenta.
- Describe your initial assessment? (10 marks)
- Justify your investigations. (7 marks)
- What specific risks do you need to tell her before her ceasarean this time? (3 marks)

2. 14% of maternal deaths are related to violence in the home.
- What would make you alerted to a sufferer? (7 marks)
- How can we increase detection rates? (7 marks)
- If a case is detected, what would your management options be? (6 marks)

3. A previously healthy 25-year old primip has just delivered a stillbirth at term.
- What investigations will you do? (11 marks)
- What management is necessary prior to her discharge from the ward? (9 marks)

4. You are crash-bleeped to the postnatal ward where a previously healthy 32-year old woman who has delivered her fourth baby normally is complaining of acute severe chest pain and shortness of breath.
- Justify your initial assessment. (10 marks)
- What bedside investigations will further develop your differential diagnosis? (3 marks)
- What will be your on-going management? (7 marks)

GYNAECOLOGY PAPER

5. A 32-year old woman with two children gives a 15-month history of low abdominal pain.
- What are the differential diagnoses and the features of these? (10 marks)
- What are the principles of management? (10 marks)

6. A 19-year old who has been sexually active for the past three months and having unprotected sexual intercourse comes to you concerned about her risk of an unwanted pregnancy.
- What aspects of history and examination are important when discussing her options? (12 marks)
- What are the pros and cons of currently available emergency contraception? (8 marks)

7. With respect to gynaecological oncology.
- What are the principles of palliative care? (6 marks)
- What methods of pain relief are available? (5 marks)
- What other symptoms may present and how can these be alleviated? (9 marks)

8. A woman comes to clinic 14 days after a total abdominal hysterectomy for fibroids. She is loosing urine per vaginum and on speculum examination you see urine coming from the vaginal vault.
- What sites may the urine be coming from? (4 marks)
- How may they have been damaged? (4 marks)
- What aspects of the history (3 marks) and investigation (4 marks) will lead to localising the site and to the cause of the damage?
- What are the management options? (5 marks)

Shocked

_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997

vani s · Century Club Joined: 20 Jan 2007 Posts: 141

the third stem in the first obs essay was more like " what intraop complications would you counsel her about"

vani s · Century Club Joined: 20 Jan 2007 Posts: 141

more about consent for intra op complication

Nick Raine-Fenning · Posted: Sun Mar 11, 2007 7:25 pm Post subject:

Makes sense I guess because after 2 caesarean sections the longterm risks are pretty much covered i.e. no role for vaginal delivery, increased risk of uterine rupture, morbidly adherent placentae etc.
_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997

vani s · Century Club Joined: 20 Jan 2007 Posts: 141

the third stem of the gyn question about urinary fistula... was something different... I cant recall what exactly was it

will let you know.

Nick Raine-Fenning · Posted: Sun Mar 11, 2007 7:35 pm Post subject:

Whatever it was several people have stressed that examination was not involved.

ventose · Joined: 08 Sep 2006 Posts: 5

Dear Friends,
Guess i was not a regular member of your nice interaction group, yet would like to make these comments on the exam.

1. As most of us do agree, the short essays were just fine, the bouncers were of course the Domestic violence and the pallative care questions, yet we did expect a "wild card " paper.
the fistula question was rather a good brain storming exercise, yet how this could be translated on the marking scheme is another question.
2. MCQs: roughly 25% from past papers, yet too much numbers, and yes heavy stress on national publications CEMACH and HFEA and others, like ever you can not tell for sure how did it go.

3. EMQs: Challenging, sometimes tricky, and potentially "solvable" , if only we could have an extra 15 minutes with this paper, I wonder why does the college want us to make a decision on the managment of 70 y incontinent lady in under 90 seconds, it would be imprudent to act on this pace in real life.
Still many tricks ( sometimes unjustifiable): for instance the q about the 10 month amenorrhoea, while we were thinking of PCOS , NCAH , 2 of the answers turn out to be pregnancy and ovulation !!! and with no b hCG included in the list , who would diagnose pregnancy from such a complicated hormonal assay whilest a urinary hCG should be the first investigation to order, still good mental exercise!!
Similarly, I think the q about TTT late in third trimester giving you all intervention options ( laser ablation of connecting vessels, amniocenesis, etc,) while the option would rather to deliver.
The statistics question was rather silly.

Note:
No appearance of clinical risk management or clinical governance in the whole 3 sections of the exam, wait for this in the osce!!!
Domestic violence Q came from the last progress issue.
Input of TOG in the topics of the essays is nearly neglicable!!! Strange!!!
Similarly no appearance of the HPV vaccine , a hot topic that should have appeared at least in the mcsqs instead of crukenberg tumours and recovery from anaestehseia
I am not evaluating the exam, those at the college sure knows best what do they want, I am just trying to figure out how is the tides going.

Yet on the whole! Some challenging 7 hours, hope we are up to the challange.

Regards to u Nick
Ventose

Nick Raine-Fenning · Posted: Wed Mar 14, 2007 8:27 am Post subject: Re: Reflections on the March 2007

Xerxes I · Posted: Fri Mar 16, 2007 12:01 am Post subject:

benz · Joined: 19 Mar 2007 Posts: 12

dear all,
i have been around for a while, like your interactive discussion so much..however, afraid to take part as my english and obgyn knowledge is so poor Embarassed

. i have learnt and still learning a lot from this forum.
thank you all
b

Nick Raine-Fenning · Posted: Mon Mar 26, 2007 4:19 pm Post subject: Re: hello!

mridulaben · Posted: Sun Apr 01, 2007 3:52 am Post subject: hello

Sorry for not keeping in touch, was bit busy with work. All the best for tommorrow to all of us.
Too late for the feedback!!!

EMAK · Century Club Joined: 26 Nov 2006 Posts: 572

Allah Kareem
Thanks mridulaben
En sha allah Khair